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Inspection on 23/08/07 for Woodlands Residential Home

Also see our care home review for Woodlands Residential Home for more information

This inspection was carried out on 23rd August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

What the care home could do better:

CARE HOME ADULTS 18-65 Woodlands Residential Home 51a Elm Road Thetford Norfolk IP24 3HS Lead Inspector Mr Jerry Crehan Unannounced Inspection 23rd August 2007 09:45 Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Residential Home Address 51a Elm Road Thetford Norfolk IP24 3HS 01842 754843 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) woodlands@schealthcare.co.uk www.schealthcare.co.uk Active Care Partnerships (Fryers) Ltd Mrs Wendy E Sargeant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4th January 2007 Brief Description of the Service: Woodlands is a newly built care home that opened in August 2004. It is registered to provide residential care for a maximum of 8 adults with learning disabilities who may have accompanying physical disabilities. The home is situated a short distance from the town of Thetford, on the edge of a residential housing area with access to local facilities nearby including shops. The home has been purpose built to a high standard. This enables accommodation of people with a range of support needs, particularly those requiring full physical care and support. Service users living in the home access a combination of day services, including those operated by the proprietor’s in Thetford. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups, which assess how well a provider delivers outcomes for people using the service. This report gives a brief overview of the service and current judgements for each outcome group. Before the inspection the new Manager of the service completed a lengthy questionnaire about the service. Seven comment cards were received from relatives of people who use the service, and one comment card was received from a service user. These reflected almost exclusively positive views about the home, the care provided by staff and the difference they have made to supporting the healthcare of service users. Records held by the Commission and previous inspection reports were checked. This key inspection compromised an unannounced visit to the home that took place over 6.5 hours on 23rd August 2007. Opportunity was taken to tour the premises, look at care records and policies, and communicate with the home’s visitors, care staff and the Manager. Although some service users were spoken with during the inspection, all of them have difficulties with communication, meaning that it was difficult to gather information about their views of the home. Reliance is therefore put upon information from staff, records, observation and the Manager. The inspection report reflects regulatory activity since the last inspection and evidence from inspection of Key Standards. The range of monthly fees for the home is £3,600 to £6,800. What the service does well: • The environment at the home is safe, very well maintained and specially designed to support the needs of people who use the service. It provides an excellent standard of accommodation There is good care planning that reflects the specialist and communication needs of people who use the service. People who use the service are provided with choice and variety to suit their lifestyles. Well trained staff, who are well informed about service users individual needs, provide excellent healthcare support to people who use the service. A competent and experienced manager and staff team who have access to good induction and ongoing training, including NVQ supports service users. • • • • Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? • • Individual care plans more clearly set out action required by care staff to prevent and manage challenging behaviour. Improvements have been made to the home’s conservatory area to create a space where service users can participate in art and craft activities. Financial records required by regulation are available in the care home for inspection. Team meetings have been established to assist in clear communication and provide a greater sense of direction and leadership. More systematic monitoring to measure the success in achieving the aims and objectives of the home have been implemented. • • • What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 & 2 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective people to use the service have their needs assessed, and access to all of the information they need about the service they may choose. EVIDENCE: The service has a ‘Statement of Purpose’ that describes the aims and objectives of the home as well as other useful information. The ‘service users guide’ sets out a summary of this information. A copy of this was available within the home. This document is available in ‘Picture Board’ symbol format, and the manager indicated that it could be made available in other formats to suit individual communication need. The home has an assessment pro-forma used by the manager when collecting information. The document is well designed to ascertain the level of support required by any prospective service user. It was evident from the needs of the service user group that appropriate assessments had been carried out to as to the suitability of the home to meet individual needs. There have been no new admissions to the home since the last inspection. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 & 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individual needs, aspirations and choices are promoted through clear care planning and assessment of risk. People who use the service are supported to make decisions about their lives within their capacities. EVIDENCE: Several care files were looked at during the site visit. Care files contained a ‘personal profile’ of the service user. Each file contained detailed care plans and risk assessments that describe the support requirements of the individual. Care plans seen set out good information about how service users communicate, including non-verbal communication and what this may mean. A clear protocol for supporting a service user when agitated or distressed was seen. This would assist care staff in delivering a consistent and agreed approach to care. Behaviours, particularly behaviours that challenge are described clearly in care plans. There are also good care plans to support the healthcare of service users including the management of medication. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 10 There was evidence of a variety of relevant risk assessments, and of the implementation of risk assessments with clear guidance provided to staff about how to manage the risks and to promote assistance where possible. There was evidence in care files of regular review, and the participation of significant people including the relatives of service users. The arrangements relating to the financial affairs of service users were looked at. The manager was able to explain the system in place and records were accurate, but there is a need to ensure that the records and procedures in place are clearer so that everyone is aware of their responsibilities. To achieve this, every service user should have a financial care plan, which clearly states the agreements in place for looking after the service users monies. For example, these could set out personal allowance monies, indicate where monies are paid into, where cheque books and/or monies are kept, where cheques are recorded, if the service user holds a lot of money where else this may be kept safely (See Requirement 1). A visiting professional spoken to during the site visit gave good feedback about the home, describing care provided as ‘excellent’, and indicating that staff have a good approach to care and understanding of their role. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are provided with choice and variety in their lifestyle. Links with the community are well maintained and there is support to maintain family relationships. EVIDENCE: Service users engage in activities at the home and outside of the home with the support of care staff and care staff from other agencies, including Norfolk Social Services. This was the case at the time if the inspection visit when a service user was assisted by day services staff from Norfolk Social Services, and other service users attended their regular day services. The home has its own transport that is specially adapted to meet the physical requirements of service users. However, other transport is used including taxi and bus services, or walking to more local facilities. Activities undertaken by service users include regular swimming trips (sometimes twice a week), sailing, trips to the local theatre, to the zoo, the Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 12 park or to the coast. More local outings include shopping trips to the supermarket, bingo or visits to the pub. The home recently held its own summer fete. This was advertised locally and attended by members of the local community. Staff explained that they are still exploring the possibility of accessing ‘Riding For The Disabled’ as another leisure option for service users. There are currently no service users attending adult education courses, it is recommended that opportunities for local adult education be explored further (See recommendation 1). Contact between service users and their relatives is supported by the home, on occasions this has included supporting visits home to parents. Family members also attend reviews of care plans where they are able. A service user described a forthcoming birthday party they were going to celebrate with relatives. They also described previous and future holiday plans with the home, including a holiday in Devon. Individual preferences and choices are supported by the home, and any restrictions agreed due to risk are set out clearly in the care plan. A comment card from a relative indicates that the home allows the service user to ‘be the person that they are’. Service users have unrestricted access to all areas except other people’s bedrooms. All bedroom doors are lockable. Staff support service users with their post individually. Care staff prepare all of the meals at the home (though service users have the opportunity to assist in the kitchen with cooking and washing up). Food preparation includes providing pureed foods, finger foods (for any visually impaired service user) and ‘PEG’ feeds. The main meal is taken in the evening in a communal setting. Menus provide evidence of a variety of meals on offer. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 & 20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. Well trained staff provide excellent healthcare support to people who use the service. EVIDENCE: Staff spoken with during the inspection visit were knowledgeable and well informed about the health care needs of service users. Staff spoken to are also aware of the specialist and complex healthcare needs of some service users. This is supported by appropriate health and personal care advice in care plans (including clear weight monitoring records). Staff have access to training in health care matters including first aid, medication and epilepsy. A service user had been supported by staff in attending a significant healthcare appointment and procedure at hospital at the time of the inspection visit. It was clear from observation that the staff member supporting the service users was very well informed about the service users healthcare needs and their communication, and that this had assisted healthcare staff. There was clear communication with colleagues on return from hospital about the short (and longer) term care implications for the service user following the procedure. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 14 There was also evidence of prompt telephone communication with the service users relative to provide them with information and reassurance. A comment card from a relative of a service user makes reference to care staff providing ‘brilliant’ support for a service user through time spent in hospital, and also comments that staff at the home kept them ‘informed about everything’. Care records reviewed and discussion with staff indicate that service users have access to a range of health professionals, including OT’s, speech and language therapists, the district nurse, continence advisor, dentist, physiotherapist and chiropodist. There is evidence that care planning and practice is informed by guidance from community health professionals. There is a variety of specialist equipment to support the health and mobility of service users. Care staff have received training in the use of equipment and also received regular refresher training. The home uses a monitored dosage system for medication. Medication seen is stored securely and appropriate records are kept for the receipt of medication into the home, its administration and any medication returned to the pharmacy. There are no service users accommodated at the home who have responsibility for their own medication. There are very clear instructions in care plans for staff in the administration of ‘PRN’ (when required) medications, and equally clear information about known allergies. On review of medication no discrepancies were identified, and records were good. Staff receive training with regard to medication and are familiar with the home’s policy and procedure. Staff have also received specialist training in the administration of rectal diazepam. There are clear written protocols for staff about the handling and availability of this medication for a service user. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements for responding to the concerns and complaints of service users and staff are good. People who use the service are protected from abuse. EVIDENCE: The home has a detailed complaints procedure and information on how to make complaints is detailed in the service users guide. The complaints procedure is also available in ‘Picture Board’ symbol format. The manager stated that no complaints had been received since the last inspection of the home. A procedure for responding to allegations of abuse is in place that staff are aware of. The majority of care staff have received relevant and up to date training in adult protection. Evidence of this training was seen in records reviewed. In some instances there was evidence of the testing of learning in questionnaires. Training has included ‘what is abuse’, and ‘responding to abuse’. There is good staff understanding of abuse and of arrangements for reporting suspected abuse. Relatives or appointees manage the majority of service user financial affairs. The proprietor acts as corporate appointee for three service users, however, the proprietor’s have indicated that they are looking into an improved arrangement whereby service users would have their own bank accounts. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 29 & 30 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment at the home is safe, very well maintained and specially designed to support the needs of people who use the service. EVIDENCE: The premises are purpose built for the homes stated purpose, and in keeping with the local community. The interior accommodation is spacious and very well decorated, with excellent quality furnishings and fittings that are suited to the individual needs and preferences of service users. Comment cards received from relatives of people who use the service refer to a ‘homely’ or ‘happy’ atmosphere with ‘friendly and caring’ staff. The bungalow is accessible for service users with a physical disability using wheelchairs to mobilise. Improvements have been made to the conservatory area to create a space where service users can participate in art and craft activities. A service user was using the area at the time of the inspection visit for such an activity. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 17 There are colourful picture boards in hallway areas indicating the staff group and reflecting past social events enjoyed by service users. The home has excellently maintained gardens that are very attractive. They provide enjoyment and stimulation for service users and have evidently won awards. There is a variety of specialist equipment available to suit the complex and varied needs of service users. Equipment available at the home includes overhead tracking hoists, bath hoists, a specialist bath and variety of individual equipment, including specialist equipment assessed by occupational therapists. The home was clean and hygienic. Support workers have had infection control training and guidance. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 & 35 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff at the home are trained, skilled and in sufficient numbers to support the people who use the service. EVIDENCE: There were eight service users accommodated at the home at the time of the inspection visit. They are cared for by a minimum of four care staff throughout the day. There are two waking night staff each night. The manager confirmed that she has the authority to provide extra care if required. The total care staff group is 18. Out of this 13 staff have a qualification at NVQ 2 or above, a further two staff are currently undertaking the training. Three care staff are undertaking NVQ 3 training, one senior staff member has achieved an NVQ 3 award and has enrolled to undertake NVQ 4. The manager and proprietor are commended for supporting and promoting NVQ training at the home. There is evidence of induction training for newly appointed staff, and that this includes the ability to work in a supernumerary capacity for at least a week. This assists in ensuring the health and welfare of service users. From observation of care practice it is evident that service users have confidence in their carers, and that carers carry out their role competently. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 19 Care staff at the home have accessed a variety of appropriate training, including manual handling, health and safety, first aid, challenging behaviour, infection control, medication, food hygiene, fire safety, visual impairment and adult protection. From discussion with care staff and a review of staff files, it was evident that service users are protected by good recruitment practices. Evidence of obtaining enhanced CRB checks, two references, and proof of identity prior to appointment were seen. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home promotes the health and care of people who use the service, and has developed effective quality assurance systems. EVIDENCE: The registered manager has several years’ management/supervisory experience within similar care settings, and has achieved the Registered Managers Award and continued professional training. Staff spoken to found the manager’s management style supportive. Comment cards from relatives and visitors have also supported a generally positive view of the management of the home. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 21 There are regular, minuted, staff meetings which (from minutes seen) provide a forum for the manager to lead the home and for staff discussion and debate on issues of relevance. The views of service users are actively sought on every day issues associated with the running of the home. More systematic monitoring to measure the success in achieving the aims and objectives of the home have been implemented. Survey forms are sent to parents, professionals and other ‘stakeholders’, these are returned to the proprietor’s head office and then to the home for the manager to analyse and consider. The results of surveys undertaken so far have been provided to the Commission. These contain positive comments such as ‘wonderful caring and friendly staff’, ‘very satisfied’ and ‘don’t think I could have found a better place anywhere’. The home demonstrates good practices ensuring service users health, safety and welfare. Relevant health and safety training for staff, including moving and handling, first aid, food hygiene training, fire training and good fire records support practices. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA7 Regulation 15(1) Requirement The registered person must ensure that each service user has a financial care plan. This will help to protect people who use the service. Timescale for action 31/10/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA12 Good Practice Recommendations It is recommended that opportunities for local adult education be explored further. Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodlands Residential Home DS0000063386.V349396.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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